Mercy Health Services-Iowa Corp.
Organization Active NPI Community/Retail Pharmacy · Mason City, IA
NPI 1962591370 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1962591370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1138 (IA)
- Legal business name
- MERCY HEALTH SERVICES-IOWA CORP.
- Practice address
- 621 S Illinois Ave Ste 101
Mason City, IA 50401-5489 - Phone
- (641) 428-6940
- Fax
- (641) 428-6942
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mark Trammel
- Title
- Asst Treasurer
- Phone
- (641) 428-7984
Owned or controlled facilities with NPI records 14
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 15
Member of 1
Practitioners 4
-
Paige Burtness, FNP-C
-
Michele Ann Plunkett, ARNP
-
Kaylee Michele Buffington, PHARMD
-
Ryan J Corell, PHARM.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mercyone Regency Pharmacy |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
All facility ownership & control disclosures 14
| Facility | Type | Role | Since |
|---|---|---|---|
| Mercyone Dyersville Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 19, 1998 |
| Mercyone Dyersville Medical Center |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Aug 19, 1998 |
| Mercyone New Hampton Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 19, 1998 |
| Mercyone New Hampton Medical Center Swing Bed |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Mar 23, 2018 |
| Mercyone Dubuque Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Mercyone Clinton Medical Center |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Aug 19, 1998 |
| Mercyone Dubuque Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Mar 2, 2015 |
| Bethany Home |
Skilled nursing facility | Adp of the SNF | Dec 1, 1995 |
| Rockwell Community Nursing Home |
Skilled nursing facility | Adp of the SNF | Dec 1, 2018 |
| Mercyone North Iowa Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 10, 2012 |
| Mercyone Correctionville Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 19, 1998 |
| Mercyone Kingsley Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 19, 1998 |
| Mercyone Anthon Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 19, 1998 |
| Mercyone Primghar Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Aug 19, 1998 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110526000380 | IA | DME Supplier - Pharmacy | 7618884438 | Practice locations: Mason City, IA |
| O20170606001785 | IA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618884438 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sheffield, IA; Northwood, IA; Mason City, IA; Greene, IA; Clear Lake, IA |
National Provider Directory
- Tax ID family
- Mercy Health Services
Locations
621 S Illinois Ave
Ste 101
Mason City, IA 50401
Phone (641) 428-6940
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1138 | IA | Yes |
Addresses
Primary practice location
621 S Illinois Ave Ste 101
Mason City, IA 50401-5489
Mailing address
PO Box 1159
Mason City, IA 50402-1159
Phone (641) 428-7917
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0230789 | Medicaid | IA | |
| 2030058 | Other | PK |
Other names
- MercyOne Regency Pharmacy
Other providers in Mason City, IA
- Mercy Health Services-Iowa Corp
- Mercy Health Services-Iowa Corp.
- Mercy Health Services-Iowa Corp.
- Mercy Health Services-Iowa Corp.
- Mercy Health Services-Iowa Corp.
- Mercy Health Services/Iowa Corp
- Mercy Health Services/Iowa Corp.
- Mercy Home Infusion Pharmacy
- Mercy Medical Center North Iowa
- Mercy Medical Center North Iowa
All providers in Mason City, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.